| Boys & Girls Village | |
|
170 Bennett St Bridgeport CT 06605-2901 | |
| (203) 330-6790 | |
| Not Available |
| Full Name | Boys & Girls Village |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 170 Bennett St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Michael Richard Romano (IICAPS CLINICIAN) |
| Authorized Official Contact | 2036905159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boys & Girls Village 8 1/2 Girard St Apt. B Norwalk CT 06850 Ph: (203) 722-1728 | Boys & Girls Village 170 Bennett St Bridgeport CT 06605-2901 Ph: (203) 330-6790 |
| NPI Number | 1932584570 |
|---|---|
| Provider Enumeration Date | 07/24/2015 |
| Last Update Date | 07/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932584570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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